﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Retirement/retirement.master" AutoEventWireup="true" CodeFile="reviewChangeDetails.aspx.cs" Inherits="Retirement_changeDetails" %>

<asp:Content ID="Content" ContentPlaceHolderID="retirement_ContentPlaceHolder" runat="Server">


    <h2 id="heading">
        <a href="../home.aspx">World Trade Bank</a> > <a href="~/retirement/admin/manageClients.aspx">
            Retirement</a> > <a href="manageClients.aspx">Clients</a> > Change Details</h2>

        <fieldset>
        <legend style="font-size: 28px; font-weight: bold">Change Personal Details</legend>
        <br />
        <table class="tbl_changePersonalDetails" width="100%"> 
        <colgroup>
            <col style="width: 20%;">
            <col style="width: 30%;">
            <col style="width: 20%;">
            <col style="width: 30%;">
        </colgroup>
            
        <tr>
        <td>New First Name</td>     
        <td>: <asp:Label ID="tb_firstName" runat="server" Text=""><%# Eval("first_name")%></asp:Label></td>
        <td>New Last Name</td>
        <td>: <asp:Label ID="tb_lastName" runat="server" Text=""><%# Eval("last_name")%></asp:Label></td>
        </tr>

        <tr>
        <td>New NRIC/Passport No.</td>     
        <td>: <asp:Label ID="tb_nric" runat="server" Text=""></asp:Label></td>
        <td>Old NRIC/Passport No.</td>
        <td>: <asp:Label ID="tb_oldNric" runat="server" Text=""></asp:Label></td>
        </tr>

        <tr>
        <td colspan="4"><br /><br />Please attach copy of Deed Poll/<br />NRIC for any of the changes above: &nbsp;&nbsp;
        <asp:Label ID="lb_nirc" runat="server" Text="nric.pdf" BorderColor="#666666" BorderStyle="Solid" Width="150"></asp:Label>
        <asp:Button ID="btn_viewNric" runat="server" Text="View" /><br /></td>
        <td></td>
        <td></td>
        <td></td>
        </tr>

        <tr>
        <td colspan="4" style="font-weight: bold"><br /><br />Contact Details</td>
        </tr>

        <tr>
        <td>New Mobile No.</td>     
        <td>: <asp:Label ID="tb_mobileNo" runat="server" Text="" ></asp:Label></td>
        <td>New Home / Office No.</td>
        <td>: <asp:Label ID="tb_telNo" runat="server" Text=""></asp:Label></td>
        </tr>

        <tr>F
        <td>New Mailing Address</td>     
        <td>: <asp:Label ID="tb_mailingAddress" runat="server" Text=""></asp:Label></td>
        <td>Postal Code</td>
        <td>: <asp:Label ID="tb_postalCode" runat="server" Text=""></asp:Label></td>
        </tr>

        <tr>
        <td>New Email Address</td>     
        <td>: <asp:Label ID="tb_email" runat="server" Text=""></asp:Label></td>
        <td></td>
        <td></td>
        </tr>
        </table>
        </fieldset>
        <br /><br />

        <fieldset>
        <legend style="font-size: 28px; font-weight: bold">Change Occupation Details</legend>
        <br />
        <table class="tbl_changeOccupationDetails" width="100%"> 
        <colgroup>
            <col style="width: 20%;">
            <col style="width: 30%;">
            <col style="width: 20%;">
            <col style="width: 30%;">
        </colgroup>
        <tr>
        <td>New Occupation Title</td>     
        <td>: <asp:Label ID="tb_occupation" runat="server" Text=""></asp:Label></td>
        <td>Specific Job Duties</td>
        <td>: <asp:Label ID="tb_jobDuties" runat="server" Text=""></asp:Label></td>
        </tr>

        <tr>
        <td>Employer</td>     
        <td>: <asp:Label ID="tb_employer" runat="server" Text=""></asp:Label></td>
        <td>Effective Date of New Occupation</td>
        <td>: <asp:Label ID="tb_noOfYears" runat="server" Text=""></asp:Label></td>
        </tr>

        <tr>
        <td>Industry</td>     
        <td>: <asp:Label ID="tb_industry" runat="server" Text=""></asp:Label></td>
        <td></td>
        <td></td>
        </tr>

        <tr><td colspan="4"><br />Please note that we may request further information for underwriting purposes.</td></tr>
        </table>
        </fieldset>
        <br /><br />

        <fieldset>
        <legend style="font-size: 28px; font-weight: bold">Change Basic Plan Details</legend>
        <br />
        <table class="tbl_changeBasicPlanDetails" width="100%"> 
        <colgroup>
            <col style="width: 30%;">
            <col style="width: 70%;">
        </colgroup>

        <tr>
        <td>1. Increase Premium of Basic Plan to</td>
        <td>$ <asp:Label ID="tb_increasePlanPremium" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td>2. Decrease Premium of Basic Plan to</td>
        <td>$ <asp:Label ID="tb_decreasePlanPremium" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td>3. Increase Sum Insured of Basic Plan to</td>
        <td>$ <asp:Label ID="tb_increasePlanSumInsured" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td>4. Decrease Sum Insured of Basic Plan to</td>
        <td>$ <asp:Label ID="tb_decreasePlanSumInsured" runat="server"></asp:Label></td>
        </tr>
        </table>
        </fieldset>
        <br /><br />

        <fieldset>
        <legend style="font-size: 28px; font-weight: bold">Change Rider/Supplementary Benefit</legend>
        <br />
        <table class="tbl_changeRiderBenefit" width="100%"> 
        <colgroup>
            <col style="width: 40%;">
            <col style="width: 60%;">
        </colgroup>

        <tr>
        <td>1. Increase Sum Insured of Rider/Supplementary Benefit to</td>
        <td>Rider Name:&nbsp;&nbsp;&nbsp;&nbsp;<asp:Label ID="tb_increaseSumInsuredRiderName" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td></td>
        <td>Sum Insured $ <asp:Label ID="tb_increaseSumInsuredRiderAmount" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td>2. Decrease Sum Insured of Rider/Supplementary Benefit to</td>
        <td>Rider Name:&nbsp;&nbsp;&nbsp;&nbsp;<asp:Label ID="tb_decreaseSumInsuredRiderName" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td></td>
        <td>Sum Insured $ <asp:Label ID="tb_decreaseSumInsuredRiderAmount" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td>3. Add Rider(s)/Supplementary Benefit(s)</td>
        <td>Rider Name:&nbsp;&nbsp;&nbsp;&nbsp;<asp:Label ID="tb_addRiderName" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td></td>
        <td>Sum Insured $ <asp:Label ID="tb_addRiderSumInsured" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td>4. Delete Rider(s)/Supplementary Benefit(s)</td>
        <td>Rider Name:&nbsp;&nbsp;&nbsp;&nbsp;<asp:Label ID="tb_deleteRiderName" runat="server"></asp:Label></td>
        </tr>

        <tr>
        <td></td>
        <td>Sum Insured $ <asp:Label ID="tb_deleteRiderSumInsured" runat="server"></asp:Label></td>
        </tr>
        </table>
        </fieldset>
        <br /><br />

        <fieldset>
        <legend style="font-size: 28px; font-weight: bold">Change Payment Arrangement</legend>
        <br />
        <table class="tbl_changePaymentArrangement" width="100%"> 
        <tr>
        <td>1. Change Payment Frequency to</td>
        </tr>

        <tr>
        <td>
        <asp:RadioButton ID="rb_monthly" runat="server" Text="Monthly" GroupName="premiumMode" Checked="True"/>&nbsp;&nbsp;&nbsp;&nbsp;
        <asp:RadioButton ID="rb_semiAnnually" runat="server" Text="Semi-Annually" GroupName="premiumMode" Checked="False"/>&nbsp;&nbsp;&nbsp;&nbsp;
        <asp:RadioButton ID="rb_annually" runat="server" Text="Annually" GroupName="premiumMode" Checked="False" /><br /><br />
        </td>
        </tr>

        <tr>
        <td>2. Change Payment Method to</td>
        </tr>

        <tr>
        <td>
        <asp:RadioButton ID="rb_giro" runat="server" Text="GIRO" GroupName="premiumMethod" Checked="True" />&nbsp;&nbsp;&nbsp;&nbsp;
        <asp:RadioButton ID="rb_direct" runat="server" Text="Direct (Non-GIRO)" GroupName="premiumMethod" Checked="False" />
        </td>
        </tr>
        </table>
        </fieldset>
        <br /><br />
   
        <fieldset>
        <legend style="font-size: 28px; font-weight: bold">Other Policy-Related Changes</legend>
        <br />
        <table class="tbl_otherChanges" width="100%"> 
        <tr>
        <td><asp:CheckBox ID="cb_freelookCancellation" runat="server" />Freelook Cancellation of Policy</td>
        </tr>

        <tr>
        <td>&nbsp;Reason: <asp:Label ID="tb_freelookCancellationReason" runat="server"></asp:Label></td>     
        </tr>
        </table>
            
        </fieldset>
        <br /><br />
         <asp:ImageButton ID="btn_approve" runat="server" ImageUrl="~/Retirement/Images/approve.png" Width="150" />
         &nbsp;&nbsp;&nbsp;&nbsp;
         <asp:ImageButton ID="btn_reject" runat="server" ImageUrl="~/Retirement/Images/reject.png" Width="150" />
         <br /><br />
         If reject, please enter reason here: <asp:Label ID="tb_rejectReason" runat="server" ></asp:Label>


    <asp:SqlDataSource ID="SqlDataSource1" runat="server" 
        ConnectionString="<%$ ConnectionStrings:ConnectionString %>" 
        SelectCommand="SELECT DISTINCT * FROM [R_CHANGE_REQUEST] WHERE ([request_id] = @request_id)">
        <SelectParameters>
            <asp:QueryStringParameter DefaultValue="1" Name="request_id" 
                QueryStringField="request_id" Type="Int32" />
        </SelectParameters>
    </asp:SqlDataSource>

</asp:Content>

